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XWRAP

Florida rates for HCPCS Q4204

XWRAP, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does XWRAP cost?

$3,715

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,715$3,715 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,715$437 to $79,433

How much rates vary

Facilitymedian $3,715 · 10th to 90th $126 to $169,824Professionalmedian $3,715 · 10th to 90th $126 to $3,890
$100$1K$10K$100Kfacility $3,715professional $3,715

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
AvMed
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$131.83
AvMed
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$112,201.85
Typical High
$234,422.88
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$2,884.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$3,019.95
Typical High
$3,019.95

Where Florida sits

The same service costs 16.2 times more in Kansas than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 3rd of 51

$3,715

KS $3,802MN $234

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.